Immediate, Early, and Conventional Implant Placement in a Patient with History of Periodontitis
Identifieur interne : 000D53 ( Pmc/Checkpoint ); précédent : 000D52; suivant : 000D54Immediate, Early, and Conventional Implant Placement in a Patient with History of Periodontitis
Auteurs : Alessandro Lanza [Italie] ; Fabio Scognamiglio [Italie] ; Felice Femiano [Italie] ; Michele Lanza [Italie]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2015.
Abstract
The aim of this paper is to describe a case of implant-prosthetic rehabilitation in a patient with periodontitis, focusing on the different timing of implant placement. After initial periodontal treatment, teeth with advanced mobility degree and severe bone resorption were extracted. At different healing time oral implants were placed in a prosthetic-guided position. After osseointegration period the implants were loaded and the results at one year of follow-up are presented.
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DOI: 10.1155/2015/217895
PubMed: 25949833
PubMed Central: 4408641
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Immediate, Early, and Conventional Implant Placement in a Patient with History of Periodontitis</title><author><name sortKey="Lanza, Alessandro" sort="Lanza, Alessandro" uniqKey="Lanza A" first="Alessandro" last="Lanza">Alessandro Lanza</name><affiliation wicri:level="1"><nlm:aff id="I1">Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples</wicri:regionArea><wicri:noRegion>80138 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Scognamiglio, Fabio" sort="Scognamiglio, Fabio" uniqKey="Scognamiglio F" first="Fabio" last="Scognamiglio">Fabio Scognamiglio</name><affiliation wicri:level="1"><nlm:aff id="I2">University of Naples Federico II, 80138 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>University of Naples Federico II, 80138 Naples</wicri:regionArea><wicri:noRegion>80138 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Femiano, Felice" sort="Femiano, Felice" uniqKey="Femiano F" first="Felice" last="Femiano">Felice Femiano</name><affiliation wicri:level="1"><nlm:aff id="I1">Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples</wicri:regionArea><wicri:noRegion>80138 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Lanza, Michele" sort="Lanza, Michele" uniqKey="Lanza M" first="Michele" last="Lanza">Michele Lanza</name><affiliation wicri:level="1"><nlm:aff id="I1">Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples</wicri:regionArea><wicri:noRegion>80138 Naples</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25949833</idno><idno type="pmc">4408641</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4408641</idno><idno type="RBID">PMC:4408641</idno><idno type="doi">10.1155/2015/217895</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">002993</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002993</idno><idno 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Naples</wicri:regionArea><wicri:noRegion>80138 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Scognamiglio, Fabio" sort="Scognamiglio, Fabio" uniqKey="Scognamiglio F" first="Fabio" last="Scognamiglio">Fabio Scognamiglio</name><affiliation wicri:level="1"><nlm:aff id="I2">University of Naples Federico II, 80138 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>University of Naples Federico II, 80138 Naples</wicri:regionArea><wicri:noRegion>80138 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Femiano, Felice" sort="Femiano, Felice" uniqKey="Femiano F" first="Felice" last="Femiano">Felice Femiano</name><affiliation wicri:level="1"><nlm:aff id="I1">Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples</wicri:regionArea><wicri:noRegion>80138 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Lanza, Michele" sort="Lanza, Michele" uniqKey="Lanza M" first="Michele" last="Lanza">Michele Lanza</name><affiliation wicri:level="1"><nlm:aff id="I1">Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples</wicri:regionArea><wicri:noRegion>80138 Naples</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date 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After initial periodontal treatment, teeth with advanced mobility degree and severe bone resorption were extracted. At different healing time oral implants were placed in a prosthetic-guided position. After osseointegration period the implants were loaded and the results at one year of follow-up are presented.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Albrektsson, T" uniqKey="Albrektsson T">T. Albrektsson</name></author><author><name sortKey="Donos, N" uniqKey="Donos N">N. Donos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lang, N P" uniqKey="Lang N">N. P. Lang</name></author><author><name sortKey="Berglundh, T" uniqKey="Berglundh T">T. Berglundh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heitz Mayfield, L J A" uniqKey="Heitz Mayfield L">L. J. A. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25949833</article-id><article-id pub-id-type="pmc">4408641</article-id><article-id pub-id-type="doi">10.1155/2015/217895</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Immediate, Early, and Conventional Implant Placement in a Patient with History of Periodontitis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lanza</surname><given-names>Alessandro</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Scognamiglio</surname><given-names>Fabio</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Femiano</surname><given-names>Felice</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Lanza</surname><given-names>Michele</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via Luigi De Crecchio 7, 80138 Naples, Italy</aff><aff id="I2"><sup>2</sup>University of Naples Federico II, 80138 Naples, Italy</aff><author-notes><corresp id="cor1">*Alessandro Lanza: <email>alessandro.lanza@unina2.it</email></corresp><fn fn-type="other"><p>Academic Editor: Jamil A. Shibli</p></fn></author-notes><pub-date pub-type="ppub"><year>2015</year></pub-date><pub-date pub-type="epub"><day>8</day><month>4</month><year>2015</year></pub-date><volume>2015</volume><elocation-id>217895</elocation-id><history><date date-type="received"><day>28</day><month>11</month><year>2014</year></date><date date-type="rev-recd"><day>4</day><month>2</month><year>2015</year></date><date date-type="accepted"><day>3</day><month>3</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 Alessandro Lanza et al.</copyright-statement><copyright-year>2015</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>The aim of this paper is to describe a case of implant-prosthetic rehabilitation in a patient with periodontitis, focusing on the different timing of implant placement. After initial periodontal treatment, teeth with advanced mobility degree and severe bone resorption were extracted. At different healing time oral implants were placed in a prosthetic-guided position. After osseointegration period the implants were loaded and the results at one year of follow-up are presented.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>(a) Initial OPT radiographic situation; (b) initial periodontal charting.</p></caption><graphic xlink:href="CRID2015-217895.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Clinical condition after periodontal treatment: (a) lateral view, (b) frontal view, and (c) occlusal view.</p></caption><graphic xlink:href="CRID2015-217895.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Periodontal condition after nonsurgical periodontal treatment.</p></caption><graphic xlink:href="CRID2015-217895.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Type 3 prosthetically guided implant positioning, surgical and radiographic view.</p></caption><graphic xlink:href="CRID2015-217895.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Type 2 implant positioning with simultaneous GBR technique: (a) extraction time point, (b) 4-week clinical soft tissue healing condition, (c) implant insertion, and (d) simultaneous GBR to optimize bone volume.</p></caption><graphic xlink:href="CRID2015-217895.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Type 1 implant positioning with transmucosal healing, surgical and radiographic view.</p></caption><graphic xlink:href="CRID2015-217895.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><graphic xlink:href="CRID2015-217895.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Clinical situation at the delivery of prosthetic rehabilitation: (a) type 1 implant positioning; (b) type 2 implant positioning; (c) type 3 implant positioning.</p></caption><graphic xlink:href="CRID2015-217895.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>Clinical situation after 1 year from loading time; (a) type 1 implant positioning; (b) type 2 implant positioning; (c) type 3 implant positioning.</p></caption><graphic xlink:href="CRID2015-217895.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>OPT radiographic situation 1 year after loading.</p></caption><graphic xlink:href="CRID2015-217895.010"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Surgical and prosthodontic schematic overview.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Timing</th><th align="center" rowspan="1" colspan="1">Days after teeth extraction</th><th align="center" rowspan="1" colspan="1">Site</th><th align="center" rowspan="1" colspan="1">Fixture<break></break>height/diameter</th><th align="center" rowspan="1" colspan="1">GBR+/−</th><th align="center" rowspan="1" colspan="1">Healing model</th><th align="center" rowspan="1" colspan="1">Loading time</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Type 1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">Mandible</td><td align="center" rowspan="1" colspan="1">13 mm/3.5</td><td align="center" rowspan="1" colspan="1">−</td><td align="center" rowspan="1" colspan="1">Transmucosal </td><td align="center" rowspan="1" colspan="1">3 months</td></tr><tr><td align="center" colspan="7" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Type 2 </td><td align="center" rowspan="1" colspan="1">28</td><td align="center" rowspan="1" colspan="1">Maxilla</td><td align="center" rowspan="1" colspan="1">13 mm/3.5<break></break>13 mm/3.5<break></break>9 mm/4.0</td><td align="center" rowspan="1" colspan="1">+</td><td align="center" rowspan="1" colspan="1">Submerged </td><td align="center" rowspan="1" colspan="1">4 months</td></tr><tr><td align="center" colspan="7" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="2" colspan="1">Type 3</td><td align="center" rowspan="2" colspan="1">70</td><td align="center" rowspan="1" colspan="1">Mandible</td><td align="center" rowspan="1" colspan="1">9 mm/3.5<break></break>11 mm/3.5<break></break>9 mm/4.0</td><td align="center" rowspan="2" colspan="1">−</td><td align="center" rowspan="2" colspan="1">Submerged </td><td align="center" rowspan="2" colspan="1">3 months<break></break>3 months</td></tr><tr><td align="center" rowspan="1" colspan="1">Maxilla</td><td align="center" rowspan="1" colspan="1">11 mm/3.5<break></break>11 mm/3.5<break></break>11 mm/4.0</td></tr></tbody></table><table-wrap-foot><fn><p>See <xref ref-type="fig" rid="fig7">Figure 7</xref>.</p></fn></table-wrap-foot></table-wrap><table-wrap-group id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Periodontal conditions schematic overview at presurgical time and after 1 year follow-up.</p></caption><table-wrap id="tab2a" orientation="portrait" position="anchor"><label>(a)</label><table frame="hsides" rules="groups"><thead><tr><th align="center" colspan="5" rowspan="1">Presurgical periodontal conditions</th></tr><tr><th align="left" rowspan="1" colspan="1">Suppuration</th><th align="center" rowspan="1" colspan="1">FMPS</th><th align="center" rowspan="1" colspan="1">FMBS</th><th align="center" rowspan="1" colspan="1">Tooth mobility</th><th align="center" rowspan="1" colspan="1">Pocket ≥ 5 mm</th></tr></thead><tbody><tr><td align="left" rowspan="2" colspan="1">None</td><td align="center" rowspan="2" colspan="1"><25%</td><td align="center" rowspan="2" colspan="1"><25%</td><td align="center" rowspan="1" colspan="1">0/1<sup>∗</sup></td><td align="center" rowspan="2" colspan="1">Numbers 5-4-3-2</td></tr><tr><td align="center" rowspan="1" colspan="1">2/3<sup>∗∗</sup></td></tr></tbody></table><table-wrap-foot><fn><p><sup>∗</sup>Tooth mobility in aesthetic region and on numbers 29-30-31.</p></fn><fn><p><sup>∗∗</sup>Tooth mobility on numbers 5-4-3-2-28.</p></fn></table-wrap-foot></table-wrap><table-wrap id="tab2b" orientation="portrait" position="anchor"><label>(b)</label><table frame="hsides" rules="groups"><thead><tr><th align="center" colspan="5" rowspan="1">1 year follow-up</th></tr><tr><th align="left" rowspan="1" colspan="1">Suppuration</th><th align="center" rowspan="1" colspan="1">FMPS</th><th align="center" rowspan="1" colspan="1">FMBS</th><th align="center" rowspan="1" colspan="1">Tooth mobility</th><th align="center" rowspan="1" colspan="1">Pocket ≥ 5 mm</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">None</td><td align="center" rowspan="1" colspan="1"><25%</td><td align="center" rowspan="1" colspan="1"><25%</td><td align="center" rowspan="1" colspan="1">0/1<sup>∗</sup></td><td align="center" rowspan="1" colspan="1">None</td></tr></tbody></table><table-wrap-foot><fn><p><sup>∗</sup>Tooth mobility in all sites.</p></fn></table-wrap-foot></table-wrap></table-wrap-group></floats-group></pmc><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Lanza, Alessandro" sort="Lanza, Alessandro" uniqKey="Lanza A" first="Alessandro" last="Lanza">Alessandro Lanza</name></noRegion><name sortKey="Femiano, Felice" sort="Femiano, Felice" uniqKey="Femiano F" first="Felice" last="Femiano">Felice Femiano</name><name sortKey="Lanza, Michele" sort="Lanza, Michele" uniqKey="Lanza M" first="Michele" last="Lanza">Michele Lanza</name><name sortKey="Scognamiglio, Fabio" sort="Scognamiglio, Fabio" uniqKey="Scognamiglio F" first="Fabio" last="Scognamiglio">Fabio Scognamiglio</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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